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大环内酯-林可酰胺-链阳菌素表型的异质性和(B)的接合转移。

Heterogeneity of macrolide-lincosamide-streptogramin phenotype & conjugal transfer of (B) in .

机构信息

Center for Neuroscience, Indian Institute of Science, Bengaluru, India.

Microbiology & Fermentation Technology Department, CSIR-Central Food Technological Research Institute, Mysuru, India.

出版信息

Indian J Med Res. 2019 Feb;149(2):270-275. doi: 10.4103/ijmr.IJMR_2055_17.

Abstract

BACKGROUND & OBJECTIVES: Pediococcus pentosaceus has been reported to cause clinical infections while it is being promoted as probiotic in food formulations. Antibiotic resistance (AR) genes in this species are a matter of concern for treating clinical infections. The present study was aimed at understanding the phenotypic resistance of P. pentosaceus to macrolide-lincosamide-streptogramin B (MLS) antibiotics and the transfer of AR to pathogens.

METHODS

P. pentosacues isolates (n=15) recovered from fermented foods were screened for phenotypic resistance to MLSantibiotics using disc diffusion and microbroth dilution methods. Localization and transferability of the identified resistance genes, erm(B) and msr(C) were evaluated through Southern hybridization and in vitro conjugation methods.

RESULTS

Four different phenotypes; sensitive (S) (n=5), macrolide (M) (n=7), lincosamide (L) (n=2) and constitutive (cMLS) (n=1) were observed among the 15 P. pentosaceus isolates. High-level resistance (>256 μg/ml) to MLSwas observed with one cMLSphenotypic isolate IB6-2A. Intermediate resistance (8-16 μg/ml) to macrolides and lincosamides was observed among M and L phenotype isolates, respectively. Cultures with S phenotype were susceptible to all other antibiotics but showed unusual minimum inhibitory concentration (MIC) values of 8-16 μg/ml for azithromycin. Southern hybridization studies revealed that resistance genes localized on the plasmids could be conjugally transferred to Enterococcus faecalis JH2-2.

INTERPRETATION & CONCLUSIONS: The study provides insights into the emerging novel resistance patterns in P. pentosaceus and their ability to disseminate AR. Monitoring their resistance phenotypes before use of MLS antibiotics can help in successful treatment of Pediococcal infections in humans.

摘要

背景与目的

戊糖片球菌在被作为食品制剂中的益生菌推广的同时,已被报道会引起临床感染。该物种中的抗生素耐药(AR)基因是治疗临床感染的一个关注点。本研究旨在了解戊糖片球菌对大环内酯-林可酰胺-链阳菌素 B(MLS)抗生素的表型耐药性以及 AR 向病原体的转移。

方法

使用纸片扩散和微量肉汤稀释法筛选来自发酵食品的戊糖片球菌分离株(n=15)对 MLS 抗生素的表型耐药性。通过 Southern 杂交和体外接合方法评估鉴定的耐药基因 erm(B)和 msr(C)的定位和可转移性。

结果

在 15 株戊糖片球菌分离株中观察到 4 种不同的表型:敏感(S)(n=5)、大环内酯(M)(n=7)、林可酰胺(L)(n=2)和组成型(cMLS)(n=1)。IB6-2A 一株 cMLS 表型分离株对 MLS 表现出高水平耐药性(>256 μg/ml)。M 和 L 表型分离株对大环内酯类和林可酰胺类分别表现出中度耐药性(8-16 μg/ml)。S 表型培养物对所有其他抗生素均敏感,但阿奇霉素的最小抑菌浓度(MIC)值异常为 8-16 μg/ml。Southern 杂交研究表明,可在质粒上定位的耐药基因可通过接合转移到粪肠球菌 JH2-2 中。

解释与结论

该研究提供了对戊糖片球菌中新兴新型耐药模式及其传播 AR 能力的深入了解。在使用 MLS 抗生素之前监测其耐药表型有助于成功治疗人类的肠球菌感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ab/6563730/68945706b8ba/IJMR-149-270-g001.jpg

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